The Kroger Co
The Kroger Co is a healthcare organization registered as Community/Retail Pharmacy in Rincon, GA, holding Type 2 (organization) NPI 1306202890 since 2016. The authorized official on file is Jessie Warman, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306202890 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Kroger Co |
| Other name | <Unavail> |
| Practice address | 461 S COLUMBIA AVE, Rincon, GA, 31326 |
| Phone | 9128267665 |
| Fax | 9128267667 |
| Enumeration date | 2016-01-13 |
| Last updated in NPPES | 2018-07-20 |
Authorized official
| Name | Jessie Warman |
|---|---|
| Title | Manager of Pharmacy Licensing |
| Phone | 5137621019 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157520 | Other | — | PK |
| 003175280A | Medicaid | GA | — |
Copy-ready billing details
Provider: The Kroger Co NPI: 1306202890 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 461 S COLUMBIA AVE, Rincon, GA, 31326
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861893828 | Christopher Miner | Individual | Pharmacist | Rincon, GA |
| 1821629643 | Fredrick Steese | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Rincon, GA |
| 1932706686 | Jennifer Johnson | Individual | Pharmacist | Rincon, GA |
| 1255939088 | Bhumin Patel | Individual | Pharmacist | Rincon, GA |
| 1740863323 | Amber Paul | Individual | Pharmacist | Rincon, GA |
| 1992429260 | Nicholas Steese | Individual | Pharmacist | Rincon, GA |
Verify this record
Cross-check NPI 1306202890 against the authoritative CMS record: view The Kroger Co on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is The Kroger Co located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-07-20.